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Taylor Peterson, DDS, MSD — NPI 1811475239, Bozeman, MT | NPI Central

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NPI 1811475239

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Taylor Peterson, DDS, MSD

NPI 1811475239 · Periodontics · Bozeman, MT

Provider details

NPI number: 1811475239
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DDS, MSD
Sex: Male
Sole proprietor: Yes
License: DEN.00203648 (CO)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 23613 (MT)
Dental Providers
General Practice Dentistry1223G0001XLicense DEN.00203648 (CO)
Dental Providers

Practice location

614 S Ferguson Ave Ste 2

Bozeman, MT 59718-6413

Phone: (406) 586-3040

Approximate (ZIP-level) locationGet directions

More MT providers

Mailing address

1950 N Logan St Apt 310

Denver, CO 80203-1174

Registry dates

Enumerated: 2018-07-30
Last updated: 2023-08-21
Certified: 2023-08-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.